Moore P M, Baker G A
The Walton Centre for Neurology and Neurosurgery, Liverpool, UK.
Seizure. 1997 Dec;6(6):429-34. doi: 10.1016/s1059-1311(97)80016-7.
Due to the serious medical consequences in failing to recognize non-epileptic attack disorder (NEAD), and the frequency with which neurologists come into contact with such patients, clearly NEAD constitutes a major concern for clinicians in the field of epilepsy. This article presents the psychological characteristics of 185 patients with NEAD. Psychological factors that were identified as being important in the understanding of the development and maintenance of NEAD included: anxiety or stress; physical abuse; significant bereavement; family dysfunctioning; relationship problems; depression; sexual abuse. An absence of relevant psychological factors was found in only 5% of patients. From patients' descriptions of their attacks, it appears that many symptoms are related to anxiety. Our findings are largely supported by previous studies and their relevance to effective management and treatment of NEAD patients is discussed.
由于未能识别非癫痫性发作障碍（NEAD）会带来严重的医学后果，且神经科医生接触此类患者的频率较高，显然NEAD是癫痫领域临床医生的一个主要关注点。本文介绍了185例NEAD患者的心理特征。在理解NEAD的发生和维持过程中被确定为重要的心理因素包括：焦虑或压力；身体虐待；重大丧亲之痛；家庭功能失调；人际关系问题；抑郁；性虐待。仅5%的患者未发现相关心理因素。从患者对其发作的描述来看，许多症状与焦虑有关。我们的研究结果在很大程度上得到了先前研究的支持，并讨论了其与NEAD患者有效管理和治疗的相关性。
